Women with prior preterm birth and short cervix: do NOT cerclage.

نویسنده

  • John T Repke
چکیده

THE ISSUE: Undeniably, the 2 major risk factors for preterm births, the bane of modern obstetrics, are history of spontaneous delivery 37 weeks and transvaginal cervical length 2.5 cm. A multicenter randomized clinical trial has evaluated the role of cerclage for women with these 2 risk factors and concluded that intervention is associated with improved outcomes. Despite the level I evidence for cerclage, there is controversy about when to cerclage and if 17-hydroxyprogesterone prophylaxis is sufficient.

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عنوان ژورنال:
  • American journal of obstetrics and gynecology

دوره 205 2  شماره 

صفحات  -

تاریخ انتشار 2011